I was admitted to IPR on 02/08/2022, transferred from KPJ Ampang Puteri after failure of maximal

medical therapy for AEBA despite on multiple antibiotics given at KPJ. Case was accepted by Dr
Zamzurina via Dr Roslan in KPJ.. Transferred via private ambulance.

Thoroughout my stay in IPR, little information was known on the direction of treatment or further
plans by IPR. I was really in a very bad conditions, albeit, information should be relayed to patient or
my relatives/next of kin/wife precisely. My wife works as a doctor and i am a doctor myself.
Therefore there shouldn't be any barrier in terms of communicatiing using medical terms.. It was
quite disappointing that specialist in charge of the HDU in IPR was rather reviewing the clerking
sheet instead of reviewing the patient. No matter in which heirarchy you are in, you are bound to
review the patient!! not the clerking sheets or relying on your subordinates to do the reviewing. As a
specialist, this kind of attitude is abysmally unacceptable.

The thermometer used in HDU is also of poor quality. Forehead IR thermometers are used but the
disparities in comparison to a good ear thermometer are vast. An example would be in my case that
i had to bring my own ear thermometer to detect low grade fever. Almost alll readings were off
tangent. Forehead thermometer would detect 36.4 deg celcius, on the other hand my own
thermometer would read 37.5 (indicative of having a fever). If cases like these are missed, especially
in HDU unit IPR, i feel despondent enough to say that our healthcare system is in bad shape.

The other remarkable issue was that, on 11/08/22 around 1 to 1.30am i was complaining of left
sided, crushing in nature, intermittent pain. Since i have a lot of other comorbids, the issue of having
a real chest pain/ongoing ACS cannot be discounted. The Medical Officer on call at that time was Dr
Inderjeet. Ecgs were done but at a relatively slow pace as the MO and staff nurses were having a
good chit chat. There was no sense of urgency at all. I bet a lot of patients would have died due to
this lackadaisical attitude.

After reviewing my ECGs, which i was told to be normal, i was given a reassurance that the pain
could be pleuritic in nature and was offered LMS cream!!! This couldn't be the way to manage a
chest pain case. I refused for the LMS cream and insisted for some painkillers, of which i was given a
capsule of Oxycodone 5mg. Luckily the pain resolved but that wasn't the right thing to do if ACS was
suspected. I could even barely speak at that time, holding my fist to my left chest. And to add salt to
the wound, the Medical Officer was asking irrelevant questions such as why my abdomen was
distended and some unrelated questions pertaining to the chest pain.

And luckily enough i sruvived through the night, the pain subsided and i dozed off. I was shuddering
and no proper vital signs were taken, not even the temperature!!

The next morning, specialist on call Dr Nabilah binti Salman did a ward round. Unfortunately, she
was reviewing the case notes rather than asking me what went on the day before, and relying on her
other specialist Dr Tang (doing a subspecialty in Pulmonology) to ask questions on her behalf. Is this
what expected from a specialist? There's no point being a specialist if you dont review your patient,
or a least accost your patient and ask for any issues.

Especially in an HDU setting, a medical officer should be able to at least know the flow of
management of chest pain or suspected ACS. Simply sweeping the issue under the carpet by
assuming that i was having a pleuritic chest pain was a shoddy and irresponsible act.

I would like this case to be properly investigated and medical officers are at least trained with basic
skills in handling suspected ACS/Chest pain case. Lest a lot of patients would've died due to this
inefficiency.
Failure to investigate would prompt me to proceed with medicolegal actions at a pace once i am at
least well enough medically.